Salary Range: $10,023 - $15,512 (Monthly)

Close Date: December 14, 2023

Location: Portland or Salem, OR / Hybrid  

The Oregon Health Authority (OHA) has a fantastic opportunity for a State Medicaid Director, the single point of accountability for Oregon’s Medicaid Program, known as the Oregon Health Plan (OHP). This role crosses divisions and state agencies operating Medicaid services programs, including OHA and Oregon Department of Human Services (ODHS). Part of the OHP membership receives services through an OHA-administered fee-for-service (FFS) program administered by the Medicaid Program. The Medicaid Program also oversees services through an innovative service delivery model for the majority of OHP members through Coordinated Care Organizations (CCOs). In addition, Medicaid-funded home- and community-based services for seniors, people with physical disabilities, and individuals experiencing intellectual or developmental disabilities are administered by ODHS. Oregon has over one million OHP members, about one quarter of the state’s population.

For more information about the Medicaid Program click here.

The Oregon Health Authority is committed to:

• Eliminating health inequities in Oregon by 2030
• Becoming an anti-racist organization
• Developing and promoting culturally and linguistically appropriate programs and services,
• Developing and retaining a qualified inclusive workforce that represents the cultures, experiences, and values of the people of Oregon.
• Click here to learn more about OHA’s mission, vision, and core values.

What you will do!

As the State Medicaid Director, you will lead high-profile projects that shape Medicaid policy and operations in Oregon. In this pivotal role the State Medicaid Director is responsible for strategic direction, health policy innovation, and coordinated operational and program implementation.

The State Medicaid Director is the primary liaison between Oregon and the federal Medicaid offices (the Centers for Medicare and Medicaid Services (CMS)), ensuring OHP not only meets but exceeds Federal requirements including the oversight of the Medicaid State Plan, demonstration waivers, and well as home- and community-based services waivers and state plan options.

With responsibility for the administration and oversight of multi-billion-dollar CCO contracts and multi-million-dollar FFS Care Coordination contracts, your expertise will directly impact the advancement and effectiveness of Oregon’s Medicaid program, setting a benchmark for health policy and operational coordination and the health and wellbeing of millions of people who live in Oregon.

MINIMUM REQUIREMENTS:

(a) Nine years of management experience.

OR

(b) Six years of management experience and a bachelor’s degree in a related field.

In the "Work History" section of your application, you are required to clearly describe your experience within one of the (a) or (b) categories provided. Failure to provide this information may result in your application not being considered.

Desired Attributes:

• Progressive management experience in a state Medicaid program, private health insurance program, government agency, or research institution.
• Knowledge of state and federal Medicaid requirements, health care reform, health insurance practices, and the health care industry to include program design, costs for services and provider relations.
• Demonstrated experience with innovation, especially as it relates to large systems and eliminating barriers related to racism and systemic oppression that create health inequities.
• Be committed to equitable service delivery that focuses on achieving results for all populations, with a special focus on communities of color and Tribal communities.
• Demonstrated experience in cross-cultural facilitation, negotiating and consensus building among diverse constituents (e.g., immigrants and refugees, people with disabilities, communities of color, etc.), legislators and interested parties with competing needs.
• Skills in policy research and analysis.
• Demonstrated experience in complex team building, organizational advancement, and project management.
• Experience leading an organization with responsibility for financial and operating success.
• Experience using metrics and data through meaningful integration of equity and inclusion strategies and anti-racism practices to achieve outcomes and attain goals in alignment with federal and state requirements as well as OHA’s strategic goal of eliminating health inequities in Oregon by 2030.
• Ability to analyze complex issues and work collaboratively with multiple partners to identify and address those issues.
• Experience in highly regulated industries or regulatory rate setting or both.
• Demonstrated experience stewarding authentic and meaningful working relationships and developing mutual trust with all partners, internal and external.
• Knowledge of historical context of Oregon State health policy and evolution of federal law impacting low-income populations and priority populations, including Title XIX (Medicaid), Title XXI (CHIP), Title XVIII (Medicare), national health reform and Oregon’s nine (9) federally recognized Tribes and tribal communities.

What's in it for you?

• Medical, vision, and dental benefits
• 11 paid holidays
• 11 hours of vacation per month, eligible to be used after six (6) months of service.
• Eight (8) hours of sick leave per month, eligible to be used as accrued.
• 24 hours of personal business leave per fiscal year (July 1 to June 30), eligible to be used after six (6) months of service.
• Pension and retirement programs 
• Opportunity to potentially receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF)
• Professional growth and development opportunities
• Opportunities to serve the people of Oregon and make an impact through meaningful and impactful work.
• A healthy work/life balance, including part-time remote options as well.

The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity and anti-racism.

How to Apply:

Please apply via Workday at the following link:

https://oregon.wd5.myworkdayjobs.com/SOR_External_Career_Site/job/Salem--OHA--Summer-Street/State-Medicaid-Director--Health-and-Policy-Program-Administrator-3--Hybrid-work-options_REQ-141357